神经炎症
医学
神经认知
围手术期
术后认知功能障碍
谵妄
炎症
神经科学
认知
生物信息学
重症监护医学
麻醉
精神科
内科学
心理学
生物
作者
Saraswathi Subramaniyan,Niccolò Terrando
标识
DOI:10.1213/ane.0000000000004053
摘要
Neuroinflammation has become a key hallmark of neurological complications including perioperative pathologies such as postoperative delirium and longer-lasting postoperative cognitive dysfunction. Dysregulated inflammation and neuronal injury are emerging from clinical studies as key features of perioperative neurocognitive disorders. These findings are paralleled by a growing body of preclinical investigations aimed at better understanding how surgery and anesthesia affect the central nervous system and possibly contribute to cognitive decline. Herein, we review the role of postoperative neuroinflammation and underlying mechanisms in immune-to-brain signaling after peripheral surgery.
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